Research ArticleSpine Imaging and Spine Image-Guided Interventions
Comparison of Low-Dose With Standard-Dose Multidetector CT in Cervical Spine Trauma
T.H. Mulkens, P. Marchal, S. Daineffe, R. Salgado, P. Bellinck, B. te Rijdt, B. Kegelaers and J.-L. Termote
American Journal of Neuroradiology September 2007, 28 (8) 1444-1450; DOI: https://doi.org/10.3174/ajnr.A0608
T.H. Mulkens
P. Marchal
S. Daineffe
R. Salgado
P. Bellinck
B. te Rijdt
B. Kegelaers

References
- ↵Linton OW, Mettler FA; National Council on Radiation Protection and Measurements. National conference on dose reduction in CT, with an emphasis on pediatric patients. AJR Am J Roentgenol 2003;181:321–29
- ↵Van Goethem JW, Maes M, Özsarlak Ö, et al. Imaging in spinal trauma. Eur Radiol 2005;15:582–90
- ↵Griffen MM, Frykberg ER, Kerwin AJ, et al. Radiographic clearance of blunt cervical spine injury: plain radiography or computed tomography scan? J Trauma 2003;55:222–26
- ↵Antevil JL, Sise MJ, Sack DI, et al. Spiral computed tomography for the initial evaluation of spine trauma: a new standard of care? J Trauma,2006;61:382–87
- Widder S, Doig C, Burrowes P, et al. Prospective evaluation of computed tomography scanning for the spinal clearance of obtunded trauma patients: preliminary results. J Trauma 2004;56:1179–84
- ↵Gale SC, Gracias VH, Reilly PM, et al. The inefficiency of plain radiography to evaluate the cervical spine after blunt trauma. J Trauma 2005;59:1121–25
- ↵Diaz JJ Jr, Gillman C, Morris JA Jr, et al. Are five-view plain films of the cervical spine unreliable? A prospective evaluation in blunt trauma patients with altered mental status. J Trauma 2003;55:658–63
- Sanchez B, Waxman K, Jones T, et al. Cervical spine clearance in blunt trauma: evaluation of a computed tomography-based protocol. J Trauma 2005;59:179–83
- Brohi K, Healy M, Fotheringham T, et al. Helical computed tomographic scanning for the evaluation of the cervical spine in the unconscious, intubated trauma patient. J Trauma 2005;58:897–901
- ↵Cooper DJ, Ackland HM. Clearing the cervical spine in unconscious head injured patients –the evidence. Crit Care Resusc 2005;7:181–84
- ↵Grossman MD, Reilly PM, Gillet T, et al. National survey of the incidence of cervical spine injury and approach to cervical spine clearance in U.S. trauma centers. J Trauma 1999;47:684–90
- ↵Hoffman JR, Mower WR, Wolfson AB, et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med 2000;343:94–99
- ↵
- ↵Mulkens TH, Bellinck P, Baeyaert M, et al. Use of an automatic exposure control mechanism for dose optimization in multi-detector row CT examinations: clinical evaluation. Radiology 2005;237:213–23
- ↵Kalra MK, Maher MM, Toth TL, et al. Strategies for CT radiation dose optimization. Radiology 2004;230:619–28
- ↵Kalender WA, Wolf H, Suess C, et al. Dose reduction in CT by on-line tube current control: principles and validation on phantoms and cadavers. Eur Radiol 1999;9:323–28
- ↵Greess H, Wolf H, Baum U, et al. Dose reduction in computed tomography by attenuation-based on-line modulation of tube current: evaluation of six anatomical regions. Eur Radiol 2000;10:391–94
- ↵
- ↵Silverman PM, Kalender WA, Hazle JD. Common terminology for single and multislice helical CT. AJR Am J Roentgenol 2001;176:1135–36
- ↵Kalender WA, Schmidt B, Zank1 M, et al. A PC program for estimating organ dose and effective dose values in computed tomography. Eur Radiol 1999;9:555–62
- ↵United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). Sources, Effects and Risks Of Ionizing Radiation, Vol. 1: Sources. UNSCEAR 2000 Report to the General Assembly, with Scientific Annexes. New York: United Nations Publishing;2000
- ↵Holmes JF, Akkinepalli R. Computed tomography versus plain radiography to screen cervical spine injury: a meta-analysis. J Trauma 2005;58:902–05
- ↵
- ↵Pasquale M, Fabian TC. Practice management guidelines for trauma from the Eastern Association for the Surgery of Trauma. EAST ad hoc committee on guideline management: identifying cervical spine instability after trauma. J Trauma 1998;44:941–56
- ↵Marion D, Domeier R, Dunham CM, et al. Determination of Cervical Spine Stability In Trauma Patients (Update of the 1997 EAST Cervical Spine Clearance Document). 2000. Available at: www.east.org. Accessed September 1,2005 .
- ↵Gonzalez RP, Fried PO, Bukhalo M, et al. Role of clinical evaluation in screening for blunt cervical spine injury. J Am Coll Surg 1999;189:152–57
- ↵Schuster R, Waxman K, Sanchez B, et al. Magnetic resonance imaging is not needed to clear cervical spines in blunt trauma patients with normal computed tomographic results and no motor deficits. Arch Surg 2005;140:762–66
- ↵Hogan GJ, Mirvis SE, Shanmuganathan K, et al. Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: is MR imaging needed when multi-detector row CT findings are normal? Radiology 2005;237:106–13
- ↵
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T.H. Mulkens, P. Marchal, S. Daineffe, R. Salgado, P. Bellinck, B. te Rijdt, B. Kegelaers, J.-L. Termote
Comparison of Low-Dose With Standard-Dose Multidetector CT in Cervical Spine Trauma
American Journal of Neuroradiology Sep 2007, 28 (8) 1444-1450; DOI: 10.3174/ajnr.A0608
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